Individual provider Active NPI

Elisha J Brumfield, DO

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1437166097
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-30993 Issued in KS
Practice address
1010 N. Kansas
Wichita, KS 67214-3199
Phone
(316) 293-2650
Fax
(316) 293-1882
NPI assigned
Aug 3, 2006
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-30993 KS Primary
Hospitalist Physician 208M00000X 0530993 KS

Addresses

Primary practice location

1010 N. Kansas
Wichita, KS 67214-3199

Mailing address

1010 N. Kansas
Suite # 3049
Wichita, KS 67214-3199
Phone (316) 293-2650

Other identifiers 1

IdentifierTypeStateIssuer
05-30993OtherKSLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000281 KS Practitioner - Internal Medicine 6901863497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05-30993KSMDInternal Medicine Physician
0530993KSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Internal Medicine CurrentSince Jul 12, 2017 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

1010 N Kansas St
Ste 3049
Wichita, KS 67214

8533 E 32nd St N
Wichita, KS 67226
Phone (316) 293-2622

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1437166097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N. KANSAS",
            "address_2": "SUITE # 3049",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143199",
            "telephone_number": "316-293-2650",
            "fax_number": "316-293-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N. KANSAS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143199",
            "telephone_number": "316-293-2650",
            "fax_number": "316-293-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMFIELD",
        "first_name": "ELISHA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-30993",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "0530993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "05-30993",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.